Individual
CHARLENE J. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
416 W 27TH ST, ASHTABULA, OH 44004-4975
(440) 997-5427
(440) 997-5486
Mailing address
416 W 27TH ST, ASHTABULA, OH 44004-4975
(440) 997-5427
(440) 997-5486
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01263
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0747777
—
OH
Enumeration date
03/21/2007
Last updated
08/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us